Correlation of Foraminal Area and Response to Cervical Nerve Root Injections

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Correlation of Foraminal Area and Response to Cervical Nerve Root Injections

INTRODUCTION Patients with age-related degenerative changes in the cervical spine leading to cervical spondylosis may be symptomatic or asymptomatic. Older patients with radicular pain tend to have a better response to epidural steroid injections, but it is often difficult to predict which patients will have a positive response to selective nerve root block (SNRB). We analyzed whether the cervi...

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Predicting Unilateral Postlaminectomy C5 Palsy by Measuring C5 Exit Foramen Area on Preoperative Computed Tomography

Background. Postoperative C5 motor palsy is known as a common complication not only after cervical laminectomy but also after anterior discectomy. There is no consensus to verify any of the proposed mechanisms of C5 palsy following posterior cervical decompression. The authors of this article have found that C5 palsy is more common among patients with smaller C5 root exit foramen area. The purp...

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Selective nerve root injections can predict surgical outcome for lumbar and cervical radiculopathy: comparison to magnetic resonance imaging.

OBJECTIVE Diagnostic selective nerve root injection (SNI) results were analyzed in 101 patients who underwent lumbar or cervical decompression for radiculopathy and compared to surgical outcome 1 year postoperatively. A comparison of surgical outcomes was also examined between magnetic resonance imaging (MRI) and SNI results. RESULTS Of the 101 patients, 91 (90%) had positive and 10 had negat...

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CT fluoroscopic-guided cervical nerve root blocks.

While both fluoroscopic and CT-guidance during cervical nerve root blocks have been well documented in the literature, the use of CT fluoroscopy (CTF) has not. CTF is well suited to provide imaging guidance during these procedures due to its combination of excellent anatomic detail, relatively low radiation dose and the ability to perform an initial dynamic contrast injection, and is a viable a...

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ژورنال

عنوان ژورنال: Cureus

سال: 2015

ISSN: 2168-8184

DOI: 10.7759/cureus.286